Active NPI
Alford Nathaniel Vassall Jr., M.D.
- Obstetrics & Gynecology Physician
- Port Angeles, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD60062958
- Practice address
- 939 Caroline St Ste a
Port Angeles, WA 98362-3909 - Phone
- (360) 655-0999
- Fax
- (360) 452-7303
- NPI assigned
- Aug 20, 2006
- Last updated
- Jun 20, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD60062958 | WA | Primary |
| Obstetrics Physician | 207VX0000X | 83-330 | NM |
Addresses
Primary practice location
939 Caroline St Ste a
Port Angeles, WA 98362-3909
Mailing address
939 Caroline St Ste a
Port Angeles, WA 98362-3909
Phone (360) 565-0999
Other practice location 1
2901 Squalicum Pkwy
Bellingham, WA 98225-1851
Phone (360) 788-6360
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83-330 | NM | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Family Medicine | Current | Accepting new patients |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Rehoboth McKinley Christian Health Care Services, Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Rehoboth McKinley Christian Health Care Services, Inc | Family Medicine | Current | Accepting new patients |
| Rehoboth McKinley Christian Health Care Services, Inc. | Current | Accepting new patients | |
| Public Hospital District No 1 of Mason County | Current | Accepting new patients | |
| Seattle Nuclear Medicine-Ultrasound Associates | Past | Accepting new patients | |
| Clallam County Public Hospital District 2 | Past | Accepting new patients |
Locations
2100 N Mlk Blvd
Clovis, NM 88101
Phone (505) 769-2141
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
1900 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-1820
1901 Red Rock Dr
Gallup, NM 87301
Phone (505) 726-6875
2111 College Dr
Gallup, NM 87301
Phone (505) 397-5172
2300 Kati Ct
Ste A
Shelton, WA 98584
Phone (360) 426-0955
901 Mountain View Dr
Shelton, WA 98584
Phone (360) 426-1611
Interoperability endpoints
- alford.vassall.1@6965.direct.athenahealth.com
- avassall549101@hisp.ehr.sutterhealth.org
- nba8514@yourcarecommunity.org
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Multicare Neurological Surgery
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
dba Mason Health-Mason General Hospital
- Critical Access Hospital
- Shelton, WA
- NPI 1760568752
-
dba Presbyterian Medical Group
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
Family Medicine
-
dba Presbyterian Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
dba Red Rock Clinic
- Surgery Physician
- Gallup, NM
- NPI 1558829556
Obstetrics & Gynecology
-
- Rural Health Clinic/Center
- Gallup, NM
- NPI 1689779860
Family Medicine
-
dba RMCHCS Hospital
- Critical Access Hospital
- Gallup, NM
- NPI 1720084999
-
dba Olympic Medical Center
- General Acute Care Hospital
- Port Angeles, WA
- NPI 1306845557
-
- Radiology Clinic/Center
- Seattle, WA
- NPI 1265506349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718841600000",
"number": "1578678579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "939 CAROLINE ST STE A",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983623909",
"telephone_number": "360-565-0999",
"fax_number": "360-452-7303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "939 CAROLINE ST STE A",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983623909",
"telephone_number": "360-655-0999",
"fax_number": "360-452-7303"
}
],
"practiceLocations": [
{
"address_1": "2901 Squalicum Pkwy",
"address_purpose": "LOCATION",
"city": "Bellingham",
"state": "WA",
"postal_code": "982251851",
"country_code": "US",
"telephone_number": "360-788-6360",
"fax_number": "360-788-6376",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VASSALL",
"first_name": "ALFORD",
"middle_name": "NATHANIEL",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WA",
"license": "MD60062958",
"primary": true
},
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "NM",
"license": "83-330",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Angeles, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.